MISSION SURGICAL GROUP
NPI 1104276393
Clinic/Center - Ambulatory Surgical in Riverside, CA

NPI Status: Active since June 17, 2016

Contact Information

3660 PARK SIERRA DR
RIVERSIDE, CA
ZIP 92505
Phone: (951) 278-8870
Fax: (951) 278-8913

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About MISSION SURGICAL GROUP

This page provides the complete NPI Profile along with additional information for Mission Surgical Group, a provider established in Riverside, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1104276393 assigned on June 2016. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Dr. Manuel Porto M.d. (Chief Executive Officer)

NPI
1104276393
Provider Name
MISSION SURGICAL GROUP
Entity Type
Organization
Location Address
3660 PARK SIERRA DR RIVERSIDE, CA 92505
Location Phone
(951) 278-8870
Location Fax
(951) 278-8913
Mailing Address
200 S MANCHESTER AVE SUITE #315 ORANGE, CA 92868
Mailing Phone
(714) 456-2986
Mailing Fax
(951) 278-8913
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-17-2016
Last Update Date
06-17-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MANUEL PORTO M.D.

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(714) 456-8721

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1104276393
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21044712318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 0 + 4 + 4 + 7 + 1 + 2 + 3 + 1 + 8 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1104276393 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

JOHN ANDREW ROBERTSON M.D.

Internal Medicine

(Nephrology)

3660 PARK SIERRA DR
SUITE 208
RIVERSIDE, CA
ZIP 92505

(951) 687-2800

JOSEPH JYH-CHUNG LEE M.D.

Internal Medicine

(Nephrology)

3660 PARK SIERRA DR
SUITE 208
RIVERSIDE, CA
ZIP 92505

(951) 687-2800

THERESA MARIE PAYNE NP

Nurse Practitioner

3660 PARK SIERRA DR
SUITE 208
RIVERSIDE, CA
ZIP 92505

(951) 687-2800

DR. RAHUL RAMESH GOHIL MD

Surgery

3660 PARK SIERRA DR
SUITE 105
RIVERSIDE, CA
ZIP 92505

(951) 278-8870

FIRST CALL MEDICAL GROUP

Specialist

3660 PARK SIERRA DR
101
RIVERSIDE, CA
ZIP 92505

(877) 357-4777

DR. JOHN DAVID HUSTED M.D.

Surgery

3660 PARK SIERRA DR
STE 105
RIVERSIDE, CA
ZIP 92505

(951) 278-8870

NAMG HOME DIALYSIS LLC

Clinic/Center

(End-Stage Renal Disease (ESRD) Treatment)

3660 PARK SIERRA DR
STE 108
RIVERSIDE, CA
ZIP 92505

(951) 687-3900

NAMG HOME DIALYSIS LLC

Clinic/Center

(End-Stage Renal Disease (ESRD) Treatment)

3660 PARK SIERRA DR
STE 103
RIVERSIDE, CA
ZIP 92505

(951) 373-4004

DR. BENJAMIN LEONG M.D.

Surgery

3660 PARK SIERRA DR
SUITE 105
RIVERSIDE, CA
ZIP 92505

(951) 278-8870

NEIGHBORHOOD HEALTH SYSTEMS

Non-Pharmacy Dispensing Site

3660 PARK SIERRA DR
SUITE 110
RIVERSIDE, CA
ZIP 92505

(951) 637-9935

DR. ADINA TANASESCU M.D.

Internal Medicine

(Nephrology)

3660 PARK SIERRA DR
SUITE 208
RIVERSIDE, CA
ZIP 92505

(951) 687-2800

CHAO-HUANG SUN M.D., MPH

Internal Medicine

(Nephrology)

3660 PARK SIERRA DR
SUITE 208
RIVERSIDE, CA
ZIP 92505

(951) 687-2800

TINA T NG M.D.

Surgery

3660 PARK SIERRA DR
SUITE 105
RIVERSIDE, CA
ZIP 92505

(951) 278-8870

DR. XIU-JIE WANG M.D.

Surgery

(Vascular Surgery)

3660 PARK SIERRA DR
SUITE 105
RIVERSIDE, CA
ZIP 92505

(951) 278-8870

DR. CECILIA LOH M.D.

Surgery

3660 PARK SIERRA DR
SUITE 105
RIVERSIDE, CA
ZIP 92505

(951) 278-8870

TOM YIH-CHAO LIN MD

Surgery

3660 PARK SIERRA DR
STE 105
RIVERSIDE, CA
ZIP 92505

(951) 278-8870

LY THANH DUONG NP

Nurse Practitioner

(Family)

3660 PARK SIERRA DR
RIVERSIDE, CA
ZIP 92505

(951) 637-2100

MS. LIDIA RIVERA VASQUEZ RN NP-C

Nurse Practitioner

3660 PARK SIERRA DR
STE 208
RIVERSIDE, CA
ZIP 92505

(951) 687-3400

VANESSA HO MD

Family Medicine

3660 PARK SIERRA DR
SUITE 110
RIVERSIDE, CA
ZIP 92505

(951) 637-9935

NEIGHBORHOOD HEALTH SYSTEMS

Clinic/Center

(Multi-Specialty)

3660 PARK SIERRA DR
SUITE 110
RIVERSIDE, CA
ZIP 92505

(951) 637-9935

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104276393, enumerated as an "organization" on June 17, 2016.

The provider is located at 3660 PARK SIERRA DR RIVERSIDE, CA 92505 and the phone number is (951) 278-8870.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.